MEDICAID LTC ANALYST 1

State of Louisiana

Opelousas (LA)

On-site

USD 20,000 - 28,000

Full time

7 hours ago

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Job summary

The Louisiana Department of Health seeks a Medicaid Long‑Term Care Analyst to learn and apply eligibility determinations for institutionalized care, including home and facility services. You will review financial and medical documentation, conduct interviews, and work with providers, legal representatives, and healthcare staff to support accurate determinations.

This entry‑level role emphasizes understanding complex policies, processing verifications, and meeting established timeframes in a

Qualifications

Three years of experience in eligibility determinations for long‑term care programs.
Six years of full‑time experience in any field, or a bachelor's degree may substitute.
Comprehensive knowledge of federal and state policies, and completing interviews and reviews.

Responsibilities

Learn to determine financial and medical eligibility for Medicaid Long‑Term Care programs.
Review and evaluate financial, medical, and case documentation for eligibility.
Schedule and conduct interviews with applicants, representatives, and facilities.
Analyze provider forms and medical certifications for consistency with eligibility requirements.
Determine and reconcile recipient financial liabilities affecting provider payments.
Manage tasks in LaMeds, track workloads, and complete applications on time.

Skills

Accepting Direction

Learning Actively

Thinking Critically

Acting Decisively

Adapting to Change

Communicating Effectively

Displaying Expertise

Focusing on Customers

Following Policies

Solving Problems

Education

Bachelor's degree

Job description

About This Job

The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana.

Learn more about the Louisiana Department of Health

As a Medicaid Long-Term Care (LTC) Analyst, you’ll learn how to determine financial and medical eligibility for individuals needing institutionalized care—either at home or in a facility. In this entry‑level role, you'll gain hands‑on experience interpreting complex policies, reviewing vital documentation, conducting interviews, and working with a wide range of professionals—from healthcare providers to legal representatives.

An Ideal Candidate Should Possess The Following Competencies:

Accepting Direction: The ability to be open and willing to follow guidance or instructions.
Learning Actively: The ability to pursue learning, seek feedback, and integrate new knowledge to improve personal and professional performance.
Thinking Critically: The ability to analyze information objectively, identify connections across sources, and form logical, well-supported conclusions.
Acting Decisively: The ability to make timely, confident decisions using sound reason.
Adapting to Change: The ability to demonstrate flexibility in thoughts, behaviors, and actions in response to evolving circumstances or unexpected change.
Communicating Effectively: The ability to convey information, ideas, and emotions using structured communication methods that promote understanding and engagement.
Displaying Expertise: The ability to demonstrate specialized knowledge, skills, and experience to apply subject‑matter expertise in diverse and evolving contexts.
Focusing on Customers: The ability to understand and meet the needs, preferences, and experiences of internal and external customers.
Following Policies and Procedures: The ability to follow, reinforce, adapt, or develop policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies.
Solving Problems: The ability to identify root causes, analyze relevant data, and apply practical or innovative solutions to challenges.

Minimum Qualifications

Three years of experience in eligibility determinations for long‑term care programs; OR
Six years of full‑time experience in any field; OR
A bachelor's degree.

Experience Substitution

Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full‑time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.

Job Specification

The official job specifications for this role, as defined by the State Civil Service, can be found here.

Job Duties

Learn to determine financial and medical eligibility for Medicaid Long-Term Care programs for institutionalized individuals, including those in facilities or receiving services at home, by applying federal, state, and agency policies.
Review and evaluate financial, medical, and case documentation to assess eligibility, resolve discrepancies, obtain required verifications, and request additional documentation as needed.
Schedule and conduct interviews with applicants, authorized representatives, and facilities to gather information necessary for Long-Term Care eligibility determinations.
Analyze provider forms and medical certifications to ensure consistency with eligibility requirements, resolving discrepancies related to medical evidence, hardship considerations, penalty periods, and allowable deductions.
Determine and reconcile recipient financial liabilities, including incurred medical expenses and other deductions that impact provider payments.
Manage assigned tasks within LaMeds by tracking workloads, analyzing task reports, maintaining required spreadsheets, ensuring applications and renewals are completed within established timeframes, participating in required training, and performing other duties as assigned in support of Eligibility Field Operations.

Position-Specific Details

Location: Medical Vendor Administration / Eligibility Field Operations-Region 4 / St. Landry Parish

Appointment Type: This position may be filled as a Probationary appointment, Promotional appointment, Job appointment (temporary appointment that may last up to 48 months)

Cost Center: 305-2050405

Position Number(s): Multiple

Compensation

This position is eligible for the following Special Entrance Rates (SER), as well as a Premium Pay of up to $2.00/hr for hours worked based on longevity.

Medicaid LTC Analyst 1 - $17.56 hourly / $ 1,404.80 bi-weekly

Contact Information

Paula.Jackson@la.gov

LA Department of Health (LDH)

Division of Human Resources

PO Box 4818

Baton Rouge, LA 70821

225-342-6477

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.

LDH supports Louisiana’s commitment to being a State as a Model Employer (SAME) by promoting the recruitment, hiring, and retention of individuals with disabilities.

Information on the Louisiana Works, Louisiana Rehabilitation Services is available here.

LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non‑merit factor.

Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity to make a difference through public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career.

Insurance Coverage

More information can be found at https://info.groupbenefits.org/

Parental Leave

— Up to six weeks paid parental leave

More information can be found at https://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx

Holidays and Leave

— State employees receive the following paid holidays each year:

New Year's Day
Martin Luther King, Jr. Day,
Mardi Gras,
Good Friday,
Memorial Day,
Independence Day,
Labor Day,
Veteran's Day,
Thanksgiving Day and Christmas Day.
Additional holidays may be proclaimed by the Governor

State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.

Retirement

— State Of Louisiana Employees Are Eligible To Participate In Various Retirement Systems (based On The Type Of Appointment And Agency For Which An Employee Works). These Retirement Systems Provide Retirement Allowances And Other Benefits For State Officers And Employees And Their Beneficiaries. State Retirement Systems May Include (but Are Not Limited To):

Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video to give you more detailed information about their system
Teacher's Retirement System of Louisiana (www.trsl.org),
Louisiana School Employees Retirement System (www.lsers.net), among others

AC: Adapting to Change - How well do you stay flexible and adjust your behavior or work when things change?

I resist change, struggle to adjust, and my performance suffers.
I accept change with help and adjust slowly.
I adjust quickly and stay effective during change.
I lead through change and help others stay grounded and flexible.

AC: Adapting to Change - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.

CE: Communicating Effectively - How well do you share information and ideas in ways that others can understand, relate to, and act on?

I communicate unclearly, use poor tone, and ignore the audience.
I share main ideas clearly and adapt to the audience when reminded.
I communicate clearly, listen actively, and explain complex ideas well.
I craft messages that connect, inspire, and drive action across audiences.

CE: Communicating Effectively - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.

FC: Focusing on Customers - How well do you understand and meet the needs of internal or external customers?

I struggle to understand customer needs, provide clear information, or resolve issues.
I respond to customer needs with some support and build basic working relationships.
I understand customer needs, communicate clearly, and deliver timely, reliable service.
I anticipate customer needs, build trust, and deliver personalized, proactive service.

FC: Focusing on Customers - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.

MT: Managing Time - How well do you manage your time, meet deadlines, and prioritize your work?

I miss deadlines, struggle to prioritize, and don’t use tools to manage my time.
I complete some tasks but need reminders or get distracted by low-priority activities.
I plan and complete work on time using tools and strategies to stay focused and on track.
I balance competing demands, adapt to shifting priorities, and model strong time habits under pressure.

MT: Managing Time - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.

I miss deadlines, struggle to prioritize, and don’t use tools to manage my time.
I complete some tasks but need reminders or get distracted by low-priority activities.
I plan and complete work on time using tools and strategies to stay focused and on track.
I balance competing demands, adapt to shifting priorities, and model strong time habits under pressure.

ADi: Accepting Direction - How well do you accept guidance, follow instructions, and adjust when given feedback?

I resist direction, ignore feedback, and need reminders to complete tasks.
I follow direction with reminders and often need clarification or support.
I follow direction reliably, adjust to feedback, and complete tasks on time.
I adapt quickly, follow through, and help others adjust as needed.

ADi: Accepting Direction - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.

To ensure compliance with LDH Nepotism Policy#41, if you have any immediate family members that are currently employed by LDH, please list the name and relationship. Please type “N/A” if no immediate family members are employed by LDH.